This contains dysfunctions equivalent to premature ejaculation and delayed ejaculation, erectile dysfunction, lack of sexual interest or arousal, and painful intercourse (vaginismus and dyspareunia); in addition to problems imposed by atypical sexual pursuits (paraphilias), gender dysphoria (and being transgender), highly overactive libido or hypersexuality, a lack of sexual confidence, and recovering from sexual abuse (akin to rape or sexual.